Gestational Age indicator of newborns maturity Determined by calculating the

Gestational age indicator of newborns maturity

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Gestational Age: indicator of newborn’s maturity Determined by calculating the number of completed weeks between the first day of the mother’s last menstrual period and the date of birth Ballard Gestational Tool: evaluates 6 physical and 6 neuromuscular characteristics within 36 hours of birth to establish/confirm newborn’s gestational age Intrauterine growth curve: used to classify fetus as small (<10 th percentile), appropriate (10 th - 90 th percentile) or large (>90 th percentile) for gestational age. Weight is the used measurement Sexual Maturation: Secondary sexual characteristics include breast (5 stages) and pubic hair (6 stages) development in girls, and genital (5 stages) and pubic hair (6 stages) development in boys. Onset of puberty for girls is stage 2 of breast development or stage 2 of pubic hair development. Completion is when stage 4 of breast development or stage 5 of pubic hair development is reached. Puberty often begins between 9-12 years of age in girls, and 10-13 years of age in boys Sexual Maturity Rating (SMR): average of girl’s stages of pubic hair and breast development, or average of boy’s stages of pubic hair and genital development. Menarche usually begins in SMR 4 or breast stage 3 or 4. Pregnancy: Recommended weight gain based on prepregnancy BMI. First trimester weight gain is variable. Second and third trimesters ½-1 pound/week. Normal BMI: gain 25-35 pounds Underweight BMI: gain 28-40 pounds Overweight BMI: gain 15-25 pounds Obese: gain no more than 11-20 pounds 10.Nutritional assessment to include recommended water intake and energy requirements ****Nutrients necessary to the body are macronutrients, micronutrients and water**** -A nutritional assessment is an analysis of an individual’s approximate nutrient intake and related it to the history, physical exam findings, body size measurements, and biochemical measures. -Provides a guide for assessing an individual’s intake. For H & P: assess nutritional status by reviewing: 1) recent growth 2) Wight loss or weight gain 3) Chronic illnesses affecting nutritional status or intake 4) Med and supplement use 5) Nutritional screen 6) Assessment of nutrient intake 7) s/s of nutrient or energy deficiency 8) lab values -Comparing anthropometric measurements and compare to standardized tables. 1) standing height 2) weight
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3). BMI 4). Waist circumference 5). Waist-height ration and waist-hip circumference ration 6). Triceps skinfold. -Water is the most vital nutrient. An individual can exist without food for several weeks but without water for only a few days. The body of a human adult is made of about 55-65% of water. Approximately 2-2.5 liters of water is lost from the body per day. There is no recommended daily allowance for water since individual water needs vary by activity and exposure to heat and stress.
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